Dr V Facial Plasticshttp://drvfacialplastics.com
Just another WordPress siteThu, 14 Feb 2019 20:06:22 +0000en-UShourly1https://wordpress.org/?v=4.6.13What is Closed Rhinoplasty Surgery?http://drvfacialplastics.com/what-is-closed-rhinoplasty-surgery/
Fri, 28 Apr 2017 09:00:25 +0000http://drvfacialplastics.com/?p=3582…]]>Rhinoplasty can be broadly classified into open and closed rhinoplasty, which are the two main operative techniques to correct the cosmetic and functional properties of the nose. Many nose surgeons prefer to perform closed rhinoplasty because the procedure is relatively less invasive. Patients often want this option because it leaves no visible scars on the outside.

In case of closed rhinoplasty, surgical access to the nose is achieved through incisions placed inside the nose. This endonasal approach to perform nose surgery has traditionally been more popular, while open rhinoplasty has only gained more popularity in recent years.

Closed Technique

In case of closed rhinoplasty technique, the cosmetic and functional improvements to the nose are made internally through the nostrils. This avoids the need for an incision at the bottom of the nose. The technique may be more appropriate for patients who require limited correction or the ones who are receiving cosmetic nose surgery for the first time.

Changes with closed rhinoplasty technique are usually more subtle and uncomplicated. Results are scarless and more natural looking. Recovery is faster and involves reduced risk of complications as compared to open rhinoplasty. The nose surgeon should have training and experience to perform closed rhinoplasty with precision because the underlying nasal structures will not be openly visible.

Candidacy

Candidates for closed rhinoplasty typically have less severe nasal deformities, tip symmetry, a midline bridge, and no history of significant nasal trauma. Complicated or asymmetric noses are not ideal for this type of nose surgery. Patients may not only seek closed rhinoplasty for aesthetic corrections, but also for improvement of anatomical nasal airway obstruction.

Benefits of Closed Technique

Closed rhinoplasty or endonasal technique has many proponents among facial plastic surgeons, and many patients too prefer this procedure because of its relative simplicity and no external scarring. These proponents put forward the following benefits of closed rhinoplasty:

Reduced need for major surgical dissection

Reduced potential for loss of nasal tip support

Chances of post-surgical edema are decreased

Corresponding reduction in the potential for overall scarring to the nose apart from no external or visible scars

Potential to perform significant improvements in situ

A quicker and more predictable ability to feel the enhancements made to the nose

Potential to make targeted corrections without taking the nose apart

Reduced surgery time

Safer, particularly for older patients

Faster return to a normal appearance

Reduced overall recovery period and less discomfort during recovery

Patients should also note that if they are looking for substantive changes to the nose, they may require open rhinoplasty. It is paramount to have reasonable expectations from the closed technique.

]]>What are the Different Types of Cosmetic Nose Surgery (Rhinoplasty)?http://drvfacialplastics.com/what-are-the-different-types-of-cosmetic-nose-surgery-rhinoplasty/
Fri, 21 Apr 2017 09:00:30 +0000http://drvfacialplastics.com/?p=3584…]]>Nose cosmetic surgery, clinically known as rhinoplasty, is designed to improve the proportion and appearance of the nose and enhance facial balance.

The procedure may also be used to correct breathing issues or abnormalities occurring due to birth defects or trauma. Rhinoplasty can be performed using various techniques, depending on the patient’s unique anatomical and cosmetic needs.

The nose surgeon will carefully determine the patient’s candidacy for rhinoplasty and create a customized surgical plan using the most appropriate technique. Board certified facial plastic surgeon Dr. Trang Vo-Nguyen (Dr. V) provides rhinoplasty to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and other cities in this part of the state.

Improvements with Nose Surgery

Cosmetic nose surgery can enlarge or reduce nasal structures with the use of cartilage grafted from the septum or other areas of the body. If the nasal septum is deviated, the surgeon can straighten it and reduce the projections inside the nose to facilitate breathing.

Once the underlying nasal structure is sculpted to the desired shape, the nasal skin will be re-draped and incisions closed. Rhinoplasty can be used to increase or decrease the overall size of the nose. Nose tip can be refined, bumps on the nasal bridge can be removed, and flared nostrils can be reshaped as needed.

In case of trauma, a major post-traumatic nose surgery can be performed. Reconstructive rhinoplasty may be performed to correct birth defects or deformities caused due to skin cancer, other illnesses, or trauma. Ethnic rhinoplasty is a procedure to specifically improve the nasal characteristics of African American, Latin American, Asian, or Middle Eastern patients.

Open and Closed Rhinoplasty

Open and closed rhinoplasty are the two broad classifications of cosmetic nose surgery. Major nose reshaping or restructuring procedures will require open rhinoplasty. In this case, the surgeon will make the incisions in the columella, which is the vertical strip of skin dividing the nostrils. Through the incision, the surgeon will lift off the underlying nasal structures to view and correct the nasal anatomy.

In case of minor nose reshaping, the surgeon can perform closed rhinoplasty. This involves incisions within the nose only. The nasal skin is then separated from the cartilage and bone, which constitute its supporting framework. Once exposed, cartilage and bone can be reshaped, removed, rearranged or augmented to create the desired new results. Closed rhinoplasty will leave no scarring on the outside.

Other Types of Rhinoplasty

Revision rhinoplasty or secondary rhinoplasty is a procedure designed to correct problems that have remained or emerged after a previous nose surgery. Revision procedures are typically more complex and should only be performed by an experienced facial plastic surgeon.

Filler rhinoplasty is a non-surgical nose reshaping procedure that involves the use of dermal filler injections. These fillers can smooth out the depressions and sharp angles or correct the angle of the nasal tip to improve symmetry.

Estimated Recovery Period

Most patients will be able to return to work or resume their normal activities in about one week after chin surgery. However, they must refrain from strenuous activity and exercises for a few weeks to allow the healing to be completed safely. Bruising will subside from the second week, and may be entire gone in about 10 to 14 days.

Minor swelling will linger on for several weeks, but the patient can hide it with makeup and continue with their social and professional life. Results will be visible in about two weeks as the bruising and swelling is significantly resolved. Full results will, however, establish over a few months as the swelling goes away complete.

Initial Recovery Experience

For the first couple of days, the patient may have some bloody drainage from the mouth. If the surgery was performed through the mouth, this is a normal occurrence. Minor swelling in the face and neck is initially expected. The patient should sleep with their head elevated for the first few days to control swelling. This can be accomplished with the help of several pillows under the head or sleeping in a recliner chair for the first two to three days.

Ice therapy can be used in the first one or two days to help with the swelling around the chin and lips. The patient is encourage to perform short walks at home in the first week or perform light activities to promote blood flow. However, lifting of heavy weights and vigorous exercises should be avoided for about one month.

Eating during Recovery

The meals on the first day after the surgery should light in order to minimize chewing. The lower lip is likely to have numbness for several days after the procedure. Therefore, care should be taken to ensure that excessively hot food is not eaten. Eating can be slightly difficult at first because the muscle activity of the lips will be temporarily altered.

But it will return to normalcy over time. If a chin implant has been placed through the mouth, the patient should take care to ensure that the stitches inside the lower lip are not damaged. Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and nearby areas for mentoplasty.

Other Instructions

Bending over and putting pressure on the chin area with the hand should be avoided for six weeks. The patient can brush the teeth normally, but care should be taken in the incision area if implants are placed through the mouth. Grinning, smiling, and excessive facial movements should be avoided for two to three weeks.

]]>What is Open Rhinoplasty Surgery?http://drvfacialplastics.com/what-is-open-rhinoplasty-surgery/
Fri, 07 Apr 2017 09:00:21 +0000http://drvfacialplastics.com/?p=3581…]]>Rhinoplasty or nose surgery can primarily be performed using open or closed surgical techniques. Depending on the patient’s unique cosmetic requirements to improve the size or shape of the nose and their current nose condition, the surgeon will recommend the appropriate rhinoplasty technique.

Benefits of Open Rhinoplasty

If the patient requires substantive changes in the nose shape or size, or a reconstructive or post-traumatic rhinoplasty is needed, an open rhinoplasty technique may work best. This procedure will allow the surgeon access to a greater part of the nose. Many times it may also help them to make minor adjustments to the nasal tip.

The surgeon will make a small incision in the columella, which is the vertical tissue between the two nostrils. The columella becomes the access point to open the nasal skin and clearly view the underlying structures. With more precise visualization of the structures, the surgeon may be able to create more effective cosmetic results.

Although open rhinoplasty technique can yield excellent outcomes, but it is important to ensure that the operating surgeon is fully trained in facial plastic surgery procedures to have a detailed understanding of the underlying anatomy. Wider dissections and re-establishing support with sutures and grafts means that an expert surgeon is required to achieve the desired results with open rhinoplasty.

Procedures Involving Open Technique

Reduction Rhinoplasty

To create a nose more proportionate to other facial features, the surgeon may perform reduction rhinoplasty using open technique. The procedure can address flared nostrils, elongated nasal tip, and bumps on the nose bridge. Small amounts of cartilage and bone may be removed to create the desired results. Alar base reduction procedure may be performed to reduce the size of the nostrils.

Augmentation Rhinoplasty

This procedure, involving open rhinoplasty technique, will require the surgeon to perform tissue or bone grafting to build up the nasal tip or bridge. Cartilage from the nasal septum may be used for the grafting. Synthetic implants may also be used sometimes to augment the size of the nose to improve overall facial balance.

Post-Traumatic Rhinoplasty

If the patient has sustained a nasal injury, they may require post-traumatic rhinoplasty, which would involve the open technique. The procedure can address both functionality and appearance. The procedure can help to correct the nasal septum and straighten the nose. The surgeon may have to re-fracture the nose and reset it to build the desired nose.

Reconstructive Rhinoplasty

If the patient has lost all or part of their nose due to skin cancer or an accident, they may need reconstructive rhinoplasty. The surgeon will use the open technique to rebuild the nose with the help of flap techniques, skin grafts and other advanced methods. Multiple surgeries may have to be performed over several months.

Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and other neighborhoods and so on across the landscape in this part of the state for open rhinoplasty and various other surgeries.

Chin implant cosmetic surgery procedure is designed to augment the chin and improve its balance with other facial features. During the initial consultation, the surgeon will examine the patient’s facial and chin anatomy and listen to their personal cosmetic needs in order to determine their candidacy for chin implant surgery.

Pre-requisites

The candidate seeking chin implant surgery should be in good overall health condition to be able to sustain the surgery and anesthesia. If the candidate is suffering from an untreated facial skin infection or another obvious health condition, they should first get it treated before seeking chin implant procedure.

The surgeon will review the candidate’s medical records, surgical history and examine the quality and type of skin in the chin area to ensure they do not have an underlying condition that could pose risk during the surgery or delay the recovery. The patient should preferably not be suffering from a heart condition or unstable blood pressure.

If in the last six months the patient has taken any medication such as Accutane that affects bone growth and causes keloid scars, they should wait until the surgeon clears them for chin surgery. The patient should ideally have a positive mindset, clear aesthetic goals and realistic expectations to achieve good satisfaction levels from chin surgery.

Candidacy

The candidate would be bothered by one or more of the following facial attributes:

Recessed chin

Squared or pointed chin

Fleshy neck

Prominent nose

Both men and women can make equally good candidates for chin implants, but their teeth and jaw should be functioning well. If the chin is mildly weak and the teeth and jaw are functioning properly, the candidate can benefit the most from chin implants and achieve the desired aesthetic look.

The candidate should have a good immune system in order to have minimal risk of infection or other complications after the surgery. If the candidate has a habit of smoking, they should be committed to giving up smoking for a certain period of time prior to the surgery as instructed by the surgeon.

If the candidate is unsure whether chin implants will provide them an appealing look, they may first choose an injectable dermal filler treatment to create a stronger chin line. If the results are successful, the patient may be a particularly good candidate for chin implant surgery in order to achieve a long-term solution.

Some people suffering from birth defects or other facial deformities resulting from injury may also be able to restore their natural look with chin implants. Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and other cities in the vicinity and across the area for chin implant surgery.

Chin plastic surgery is designed to make the size and shape of the chin more proportionate to the rest of the face. During the pre-op consultation, the surgeon will discuss all aspects of chin surgery with the patient, and also explain its estimated costs. The procedure is typically performed as an elective surgery, and the insurance will not cover it.

The first goal of a responsible surgeon will be to educate the patient about costs and other aspects, and help them make an informed choice. Board certified facial plastic surgeon Dr. Trang Vo-Nguyen (Dr. V) provides chin surgery to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding locations.

Factors Influencing the Monetary Amount

The sticker price of chin plastic surgery can vary from one practice to another and even from one patient to another at the same practice in some cases. The factors that will impact the overall cost may include:

Location of the Practice

Where the practice is located will make a significant difference to the costs. Practices located in major metropolitan areas and prime urban centers will typically have higher costs because the average living costs are steep in these areas. On the other hand, a practice located in a smaller town or in the interior regions may afford to offer a relatively lower cost for chin plastic surgery.

Surgeon’s Expertise

The surgeon’s fee is an important component of the overall cost of chin surgery. The surgeon will usually charge a fee in sync with their qualifications, experience and certifications. Board certified surgeons typically invest in the best quality standards, advanced techniques, continuing education and latest safety protocols. Patients should ideally choose the best surgeon for their chin procedure, and consider the costs only as secondary priority.

Operating Venue

A procedure such as chin plastic surgery may be performed at a hospital, an ambulatory surgical center, or a private surgical suite. The costs and benefits associated with each of these options will vary. The surgeon will discuss all the options with the patient and make the most appropriate recommendation according to the specific circumstances of the case.

Extent of Surgery

Some patients may need only a limited chin enhancement without involving substantive structural tissue changes or bone resizing. In some other cases, the patient may require a major procedure such as chin implants or bone resizing to increase or decrease the size of the chin in proportion to other facial features.

Chin surgery is often performed in conjunction with rhinoplasty, which will add to the overall costs. Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and other cities across the horizon for chin plastic surgery.

Third Party Financing

While insurance will usually not cover an elective procedure such as chin surgery, most patients will be eligible to receive third party financing from various sources. Professional medical care finance firms offer competitive loans specially designed for cosmetic procedures, which are not covered by insurance.

Mentoplasty, commonly known as chin surgery is an ideal cosmetic surgery option for people who are unhappy with the shape of their chin in relation to the rest of the face. The surgeon may recommend chin augmentation or chin reduction procedure and other techniques depending on the unique facial anatomy in order to make the chin look more proportionate and attractive.

During the pre-op consultation, the surgeon will explain all aspects of mentoplasty to the patient and help them make an appropriate decision. Board certified facial plastic surgeon Dr. Trang Vo-Nguyen (Dr. V) provides chin surgery to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding locations.

Chin Augmentation

If the patient’s chin is undermined or recessive, it may cause the neck to appear fleshy and the nose may appear oversized. Chin augmentation surgery can be performed in such a case to add volume to a weak chin and create better facial balance. The procedure typically involves surgical insertion of implants to enhance the chin and bring it in proportion with the overall facial structure.

Chin implants are commonly used for both women and men to improve the shape and size of the chin. Chin implant candidates will usually include people with a recessive chin, pointed or squared chin, and an accentuated nose or fleshy neck. The procedure will also help to improve jaw definition.

In some cases, the surgeon may recommend chin augmentation surgery in conjunction with rhinoplasty to create more harmonious looking outcomes. Lip augmentation and cheek implants are other facial procedures that are often combined with chin augmentation.

In case of a recessive chin, the surgeon will place the chin implants in a way to supplement the existing bone at the front of the jaw. The implant is placed underneath the skin to improve the strength of the chin and increase definition. A balanced, attractive and natural looking face can be achieved with this surgery.

Chin Reduction

Chin reduction surgery may be performed when the chin appears oversized in comparison to other facial features. Reshaping of the bone and other structural tissues in the chin area will be done to create a natural looking contour. The procedure will start with the placement of a discreet incision below the chin or inside the mouth.

The surgeon will detach the bone at the tip of the chin and then reshape it. Excess bone will be removed to improve the chin contour. Thereafter, the tip of the chin will be repositioned and incisions will be closed with sutures. Chin reduction surgery can make a person appear more attractive and youthful. In several cases, chin reduction may be performed together with facelift or nose surgery procedure.

Drooping eyelid or ptosis condition can cause hooding of the upper lids. While eyelid surgery remains the most effective solution to correct this problem, some patients want to avoid surgery because of the associated risks, time and costs involved. Non-surgical or minimally invasive treatment may be performed in such cases to offer a viable alternative to surgery.

10-Minute Eye Lift

A unique 10-minute eye lift technique may be used to address a drooping upper eyelid condition in a minimally invasive way. The procedure is quite simple and effective. The redundant part of the underside of the hooded area of the upper lid, which is hidden from view, is first marked and then injected with a small amount of a local anesthetic.

Thereafter, the surgeon will run a heated probe along the marked sites until visible retraction and shrinkage of the hooding is seen, and the underlying upper lid structure becomes adequately visible. Once this is achieved, the resulting thin wound is covered with an ointment to allow for spontaneous healing.

Both upper lids can be treated with this technique, and each will take about five minutes to complete. Therefore, the procedure is popularly called 10-minute eye lift. The patient may choose to rest for a day after the procedure, but most patients typically resume their normal routine immediately.

Mild tenderness, swelling and a small amount of drainage and scabbing along the treatment line are expected to occur. These can simply be treated by cleaning and applying a common skin lubricant or an antibiotic ointment. In about a week to 10 days, the wound will heal completely. A thin, linear scar will eventually occur, which will remain hidden beneath the now tightened and less droopy upper lid.

Other Treatment Options

Certain prescription eye drops are available, which can serve as a temporary solution to address the condition of ptosis. The effect of the treatment can last for about eight hours, and can be repeated for maintain the look. Botox may be used in some cases to treat the muscle that is causing the eyelids to close. It can allow the counter acting muscles to become more forceful, thereby providing a subtle eye lift.

Multiple types of laser treatments may be used to make the upper lid skin as well as the underlying tissue tighter. Wrinkles around the eyelids and crow’s feet can also be mitigated with gentle and precise laser treatments. Dermal filler injections may be applied in some cases where the brow is low and is causing excess skin on the upper eyelid.

]]>Drooping Eyelid Ptosis Surgeryhttp://drvfacialplastics.com/drooping-eyelid-ptosis-surgery/
http://drvfacialplastics.com/drooping-eyelid-ptosis-surgery/#respondMon, 27 Feb 2017 09:00:20 +0000http://drvfacialplastics.com/?p=3539…]]>Upper eyelid surgery or blepharoplasty is a key procedure to correct the condition of droopy eyelids. It usually involves removal of excess upper lid skin and fat, and tightening of the underlying muscles to produce a more alert, youthful eye appearance. However, sometimes the surgery may be required to also correct the underlying condition of ptosis.

Functional Eyelid Surgery

Upper eyelid ptosis surgery is slightly different from cosmetic eye lift procedures. Ptosis surgery is designed to lift the position of the upper lid margin by tightening the muscle and tendon that are normally involved in elevating it. Cosmetic blepharoplasty may be used when the heaviness of the excessive skin is weighing down the upper lid, so it can be corrected with removal of excess skin.

However, when the ptosis or upper lid droopiness occurs due to aging or medical reasons, a functional eyelid surgery will be required. The procedure can be performed at a surgical center on an outpatient basis, and it is usually completed in about one to three hours. Complete recovery and final results will be established in about four to six weeks after the surgery.

Procedure to Correct Muscular Ptosis

Muscular ptosis may occur in children or may be acquired later in life as the muscle tends to sag due to aging or other factors. If the levator muscle has some strength remaining, the condition can be corrected by performed levator resection or tightening of the levator muscle. When the muscle is first tightened, the patient may not be able to blink normally. However, the condition will improve over time and normal closing of the eye can be performed.

If the levator muscle is extremely weak, the muscle tightening will not be enough to raise the lid sufficiently. In such case, a frontalis suspension is required. In this procedure, small strands will be placed between the eyelid and eyebrows. The strands are then tightened to raise the lid. This procedure will allow the patient to comfortably raise and close the eyelid as well as raise and lower the brows.

In case of adults, a frontalis suspension is performed using a strand of solid silicone, but in case of children, fibrous tissue is used so that they can easily close the eyelids after the procedure. Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and nearby areas for drooping eyelid procedures.

Recovery

Following the surgery, the eyelid will have some swelling, and the vision will be blurry for some time. The patient should keep the head in elevated position and use cold compresses frequently in the first two or three days to mitigate the swelling. The treated eyelid will initially appear stiffer than normal, and the eye will feel dry. The surgeon will prescribe a lubricating ointment to provide relief from these temporary side effects.

]]>http://drvfacialplastics.com/drooping-eyelid-ptosis-surgery/feed/0What are the Symptoms of Eyelid Drooping?http://drvfacialplastics.com/what-are-the-symptoms-of-eyelid-drooping/
http://drvfacialplastics.com/what-are-the-symptoms-of-eyelid-drooping/#respondFri, 17 Feb 2017 09:00:22 +0000http://drvfacialplastics.com/?p=3541…]]>Eyelid drooping typically occurs in the upper eyelid, and may affect one or both eyelids. If left untreated, it can adversely affect the vision. In many cases, the condition of ptosis or eyelid drooping will be barely noticeable, or will come and go intermittently. Therefore, it is critical to know the symptoms, and seek medical attention in a timely manner.

Common Symptoms

If the condition of sagging eyelid occurs only one side (unilateral), it becomes easier to notice because of the obvious difference between the eyes. Congenital ptosis will be present at birth, and the symptoms may be barely noticeable in the beginning. Even among adults, sometimes the symptoms are more or less prominent, depending on the severity of the condition.

The most common sign of a drooping eyelid is that the person will experience a limited field of vision or partial vision obstruction. Over time, this condition may also produce excess tears in the affected eye. The patient suffering from ptosis will often find it difficult to keep their eye open. They may typically tilt their head back or repeatedly raise their eyebrows in an effort to lift the droopy eyelid.

When the patient is tired, the drooping usually becomes more conspicuous because the muscles fatigue. While many patients will have watery eyes due to ptosis, in some cases, the affected eye may become extremely dry. The patient’s face also looks tired or weary.

Some patients complain of aching around the eyes, which can also make them appear tired. In more severe cases, the patient may tend to tilt their head back at all times when speaking, even while having a normal conversation. The treatment provider will also assess symptoms such as migraines or other issues that may indicate any underlying conditions as the cause of eyelid drooping.

In most severe forms of ptosis, the vision can be completely obstructed because the upper eyelid sags so much that it tends to cover the pupil. Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and nearby areas for ptosis treatments.

Dry Eye Symptoms

If the one or both eyes constantly feel dry, sandy or gritty, the patient may be suffering from dry eye, which could be caused due to drooping eyelids. Other symptoms include sore, irritated or red eyes, and difficult in wearing contact lenses. Sometimes the eyes may become watery due to dry eyes because the body produces excessive tears in response to the dryness.

Watery Eye Symptoms

Constantly watering eyes may occur due to drooping eyelids. While the body naturally produces tears to keep the eyes lubricated, but too many tears may be the result of conditions such as ptosis. A medical professional will determine the cause and recommend appropriate treatment to address the symptoms.